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Most Repeated MDCAT Biology MCQs
Biology is the single biggest slice of the MDCAT — 45% of the paper, or 81 of 180 questions. That weight is exactly why repeated questions matter: a handful of concepts show up in exam after exam, and getting them automatic is the cheapest way to bank marks before 16 August 2026.
This page lists the 25 most repeated Biology MCQs pulled from premeth's real corpus of 377 past papers (40,659 core-subject questions across Punjab/UHS, Sindh, ETEA/KPK, Federal and Balochistan). Our rule is strict: a question is only "most repeated" when the exact same correct answer recurs across 2 or more different exam years. These are measured cross-exam repeats, not guesses or predictions.
The heaviest clusters sit in Coordination & Control, Support & Movement, and Cell Structure & Function. For example, "The muscles attached to the bones are → Voluntary and striated" has appeared 5 different exam years, and "Cell death due to tissue damage is called → Necrosis" has appeared 4 different exam years.
Measured from 377 real past papers · updated July 2026
Treat this as a fast, high-yield warm-up rather than a full syllabus. Read each MCQ, cover the answer, and recall it out loud — if you hesitate on any of the top repeats (voluntary and striated muscle, necrosis, and the rest), those are the exact facts to lock in first. Because MDCAT has no negative marking, an instant, confident answer here is a guaranteed mark you never leave blank.
Then use the topic clusters as a map: since Coordination & Control, Support & Movement, and Cell Structure & Function repeat the most, open your full notes on those chapters right after this drill. Revisit the list in short spaced sessions across the weeks before the exam so the answers move into instant recall, not just recognition.
Most-repeated Biology chapters
Each chapter below has its own page of most-repeated questions — with verified answers, explanations and the exact exam years each recurred in. Ranked by how many of its questions recur across 2+ years.
| # | Chapter | Repeated questions | Frequency |
|---|---|---|---|
| 1 | Coordination and Control | 25 | |
| 2 | Bioenergetics | 20 | |
| 3 | Biological Molecules | 20 | |
| 4 | Support and Movement | 19 | |
| 5 | Transport | 18 | |
| 6 | Variation and Genetics | 15 | |
| 7 | Biodiversity | Variety of Life | 15 | |
| 8 | Nutrition | 14 | |
| 9 | Cell Structure and Function | 12 | |
| 10 | Evolution | 10 | |
| 11 | Kingdom Prokaryote | 10 | |
| 12 | Homeostasis | 10 | |
| 13 | Kingdom Animalia | 9 | |
| 14 | Enzymes | 9 | |
| 15 | Reproduction | 9 |
More repeated Biology questions
Repeated Biology questions from chapters that don't yet have their own page — each with the verified answer, explanation and the years it recurred.
- 1Repeated in 4 yearsCell Cycle
Cell death due to tissue damage is called:
- ANecrosis✓
- BMetastasis
- CApoptosis
- DEpistasis
Explanation
[A] Necrosis is the death of a body tissue,occurring when too little blood flows to the tissue.
Appeared in the past papers of: 2010, 2011, 2013, 2023
- 2Repeated in 4 yearsLipids
Which of the following is an unsaturated fatty acid?
- AOleic acid✓
- BPalmitic acid
- CButyric acid
- DAcetic acid
Explanation
Unsaturated fatty acids have one or more carbon-carbon double bonds. The term unsaturated indicates that fewer than the maximum possible number of hydrogen atoms are bonded to each carbon in the molecule. Oleic acid is an example of a monounsaturated fatty acid as it has only a single double bond present in the long chain of carbons bonded to each other.Butyric acid (butanoic acid) is a 4-carbon saturated carboxylic acid. Acetic acid (ethanoic acid) is a carbon-2 saturated carboxylic acid. Palmitic acid is a 16-carbon saturated carboxylic acid.
Appeared in the past papers of: 2012, 2020, 2023, 2024
- 3Repeated in 3 yearsSome Major Ecosystems
In Sindh, the desert ecosystem is called
- AThar✓
- BThal
- CSahara
- DGobi
Explanation
The desert is variously known as the Cholistan or Rohi Desert in Bahawalpur and the Pat or Thar Desert in Sindh. The surface of the desert is a wild maze of sand dunes and sand ridges.
Appeared in the past papers of: 2015, 2016, 2017
- 4Repeated in 3 yearsMiscellaneous
Which of the following is a conjugated molecule?
- AProtein
- BLipid
- CGlycoproteins✓
- DVitamins
Explanation
Glycoproteins are proteins that have carbohydrate chains (glycans) attached to them. These carbohydrate chains can have various functions, such as aiding in protein folding, cell recognition, and cell signaling. Glycoproteins are examples of conjugated molecules.
Appeared in the past papers of: 2022, 2023, 2024
- 5Repeated in 3 yearsMiscellaneous
Enzymes lower the activation energy by stabilizing the transition state of a metabolic reaction due to?
- AChanging conditions within the active site✓
- BChanging conditions within the protein framework
- CRearranging the fatty acids in active site
- DDistorting the molecules in the allosteric site
Explanation
Enzymes lower the activation energy by changing conditions within the active site. The active site of an enzyme is the specific region where the substrate binds and the catalytic reaction takes place. Enzymes can alter the local environment within the active site to create optimal conditions for the reaction to occur. This may involve providing specific chemical groups or ions, adjusting pH or temperature, or creating a suitable 3D arrangement of the substrate molecules. By modifying these conditions, enzymes stabilize the transition state of the reaction, making it easier for the reaction to proceed.
Appeared in the past papers of: 2022, 2023, 2024
- 6Repeated in 3 yearsMiscellaneous
Test cross is made to check the genotype of a trait. Which of the following crosses is a test cross?
- AUnknown x At
- BUnknown x tt✓
- CUnknown x AB
Explanation
A test cross is a cross between an individual with an unknown genotype for a particular trait and an individual that is homozygous recessive for that trait. The purpose of the test cross is to determine the genotype of the unknown individual by observing the phenotypic ratios of the offspring. This cross involves a homozygous recessive individual (tt), which is the test cross. The offspring from this cross will reveal the genotype of the unknown individual.
Appeared in the past papers of: 2022, 2023, 2024
- 7Repeated in 3 yearsMiscellaneous
When hybrids are crossed, the genotype ratio of the offspring is
- A1:1
- B3:1
- C1:2:1✓
- D4:1
- E3:2
Explanation
This is known as a monohybrid cross, involving the inheritance of a single trait (e.g., one gene with two alleles). The genotype ratio can be represented as follows: • 1/4 of the offspring are homozygous dominant (e.g., TT). • 1/2 of the offspring are heterozygous (e.g., Tt). • 1/4 of the offspring are homozygous recessive (e.g., tt). This ratio is based on Mendel's law of segregation, which describes how alleles segregate during gamete formation.
Appeared in the past papers of: 2001, 2009, 2011
- 8Repeated in 3 yearsMiscellaneous
Which of the following diseases is sexually transmitted?
- ATuberculosis
- BAIDS✓
- CDengue Fever
- DCholera
Explanation
Acquired immunodeficiency syndrome (AIDS) is a chronic, potentially life-threatening condition caused by the human immunodeficiency virus (HIV). By damaging your immune system, HIV interferes with your body's ability to fight infection and disease. You can get HIV from contact with infected blood, semen, or vaginal fluids. Most people get the virus by having unprotected sex with someone who has HIV. Another common way of getting it is by sharing drug needles with someone who is infected with HIV. Hence, Option B is correct. Tuberculosis is caused by bacteria that spread from person to person through microscopic droplets released into the air.
Appeared in the past papers of: 2018, 2020, 2024
- 9Repeated in 3 yearsMiscellaneous
Three hydrophobic fatty acid tails and a glycerol molecule join to form a _.
- AMonoglyceride
- BDiglyceride
- CTriglyceride✓
- DPhospholipids
Explanation
Esterification of alcohol with fatty acid results in the formation of acylglycerol, also called glyceride.When three fatty acids are involved in forming an ester bond with glycerol, a triglyceride is formed.
Appeared in the past papers of: 2022, 2023, 2024
FAQs
How are these 'most repeated' Biology MCQs actually chosen?
A question qualifies only when the same correct answer recurs across 2 or more different exam years in premeth's corpus of 377 real papers. It is measured from actual exams, not estimated or predicted.
How many Biology questions are on the MDCAT?
Biology is 45% of the paper — 81 of the 180 MCQs. The full exam is 180 MCQs in 180 minutes with no negative marking, on 16 August 2026.
Which Biology topics repeat the most?
The heaviest repeat clusters are Coordination & Control, Support & Movement, and Cell Structure & Function. Top individual repeats include 'muscles attached to bones → voluntary and striated' (5 different years) and 'cell death due to tissue damage → necrosis' (4 different years).
Is memorising repeated MCQs enough to pass MDCAT Biology?
No. Repeats are a high-yield head start that secures easy marks fast, but Biology's 81 questions span the whole syllabus. Use this list to prioritise revision, then cover the full chapters — especially the top-repeating topics.
Are these questions from Punjab/UHS only or all boards?
The corpus spans all major MDCAT authorities — Punjab/UHS, Sindh, ETEA/KPK, Federal and Balochistan — so repeats reflect cross-exam patterns, not a single board.
Is this list free?
Yes. Premeth is free and open-source. All 25 most-repeated Biology MCQs, their answers, and the methodology are available with no paywall.